Amanda Lea Fortier, PHD
Individual provider Active NPI Ph.D. Medical Genetics · Rosemont, IL
NPI 1770023202 · NPPES record last updated Mar 2, 2017
Key facts
- NPI
- 1770023202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ph.D. Medical Genetics 170100000X
- Practice address
- 5400 Pearl St
Rosemont, IL 60018-5305 - Phone
- (847) 349-7464
- Fax
- (847) 349-7409
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | Yes |
Addresses
Primary practice location
5400 Pearl St
Rosemont, IL 60018-5305
Mailing address
5400 Pearl St
Rosemont, IL 60018-5305
Phone (847) 349-7464
Other providers in Rosemont, IL
- Amani Jamil Elayan
- Emery Medical LLC
- Entera Healthcare LTD
- Entera Hospice, Inc.
- Stephanie Angela Fazlibasic
- Daniel Paul Gardner
- Gareda LLC
- Nirmal Kaur Ghuman
- Caterina Giglio
- Global Professional Healthcare Providers Inc.
All providers in Rosemont, IL · Ph.D. Medical Genetics in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.